icare Family Care Partnership (HMO SNP) 2016 Pharmacy Directory

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1 icare Family Care Partnership (HMO SNP) 2016 Pharmacy Directory This Pharmacy Directory was updated on 7/20/2015. For more recent information or other questions, please contact us, icare Family Care Partnership Customer Service, at , 24 hours-a-day/7 days-a-week (office hours: Monday-Friday, 8:30 a.m. to 5:00 p.m.). TTY users should call , or visit icare Family Care Partnership is a Coordinated Care plan with a Medicare contract and a contract with the Wisconsin Medicaid program. Enrollment in the icare Family Care Partnership depends on contract renewal. The pharmacy network may change at any time. You will receive notice when necessary. This information is available for free in a different format, including large print and Braille. Please call Customer Service at the number listed above if you need plan information in another format or language. H2237_IC1148 CMS Accepted

2 H2237_ Introduction This booklet provides a list of icare Family Care Partnership s network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and icare Family Care Partnership s formulary. When this pharmacy directory refers to we, us, or our, it means Independent Care Health Plan. When it refers to plan or our plan, it means icare Family Care Partnership. We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under icare Family Care Partnership only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or

3 there may be newer pharmacies in our network that are not listed. This list is current as of 7/20/2015. For the most current list, please contact us. Our contact information appears on the front and back cover pages. You can get prescription drugs shipped to your home through our network mail order delivery service. For more information, please contact us or see the mail order section of this pharmacy directory. If you have questions about any of the above, including for instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please see the first and last cover pages of this directory for information on how to contact us. The network pharmacies in this directory are divided into four categories: Home Infusion Pharmacies Retail Pharmacies, including Chain Pharmacies Long-Term Care Pharmacies: Residents of a long-term care facility may access their prescription drugs covered under icare Family Care Partnership through the facility s long-term care pharmacy or another network long-term care pharmacy. Mail Order Pharmacy You can get prescription drugs shipped to your home through our network mail order delivery service. To refill your mail order prescriptions, you have the option to sign up for an automatic refill service. Under this service, we will start to process your next refill automatically when our records show that you should be close to running out of your drug. We will contact you prior to shipping each refill to make sure you are in need of more medication. You can cancel scheduled refills if you have enough of your medication or if your medication has changed. If you choose not to use the auto refill service, please contact us 7-10 days before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. To opt out of the automatic refill service, please contact us by phone at or, for TTY users, , TRS Relay number 711. Typically, you should expect to receive your prescription drugs from 3 to 5 days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at , TTY , TRS Relay number 711, or Novixus at Each pharmacy is listed by category in alphabetical order for each county by city.

4 HOME INFUSION PHARMACY PHARMACY DIRECTORY VISITING NURSE ASSOCIATION OF WISCONSIN WEST NATIONAL AVE MILWAUKEE WALGREENS INFUSION AND RESPIRATORY SERVICES N 113TH ST WAUWATOSA LONG-TERM CARE PHARMACIES Dane County BELLEVILLE HOMETOWN PHARMACY RIVER ST BELLEVILLE COTTAGE GROVE HOMETOWN PHARMACY+ 429 W COTTAGE GROVE RD COTTAGE GROVE DEERFIELD HOMETOWN PHARMACY+ 10 LIBERTY ST STE 106 DEERFIELD DEFOREST HOMETOWN PHARMACY+ 645 S MAIN ST DEFOREST HOMETOWN LONG TERM CARE PHARMACY+ 643 S MAIN ST DEFOREST FITCHBURG HOMETOWN PHARMACY CAHILL MAIN SUITE J114 FITCHBURG GENOA HEALTHCARE+ 625 WEST WASHINGTON AVE MADISON HY-VEE PHARMACY E WASHINGTON AVE MADISON HY-VEE PHARMACY+ 675 S. WHITNEY WAY MADISON MALLATT'S HOMECARE PHARMACY KINGSLEY WAY MADISON OAKWOOD PHARMACY W MINERAL POINT RD MADISON OMNICARE OF MADISON PROGRESS RD MADISON ST MARYS CARE CENTER PHARMACY 3401 MAPLE GROVE DR MADISON WILLOW PHARMACY INTERNATIONAL LANE MADISON MCFARLAND HOMETOWN PHARMACY LARSON BEACH RD MCFARLAND OREGON HOMETOWN PHARMACY+ 815 NORTH MAIN ST OREGON MCGLYNN PHARMACY INC+ 100 E MAIN ST STOUGHTON O'CONNELL PHARMACY LONG TERM CARE+ 125 S. THOMPSON RD. SUN PRAIRIE OCONNELL PHARMACY LTD+ 302 S GRAND AVE SUN PRAIRIE SUN PRAIRIE HOMETOWN PHARMACY+ 13 N BIRD ST SUN PRAIRIE VERONA HOMETOWN PHARMACY+ 202 S MAIN ST VERONA MALLATT'S PHARMACY AND COSTUMES+ 233 S CENTURY AVE WAUNAKEE Kenosha County GOOD VALUE PHARMACY LTC TH ST KENOSHA Milwaukee County YE OLDE PHARMACY N PORT WASHINGTON RD GLENDALE SURETY PRO PHARMACY LLC W LAYTON AVE GREENFIELD BEHAVIORAL HEALTH PHARMACY W WATERTOWN PLANK RD MILWAUKEE FAMILY PHARMACY N OAKLAND AVE MILWAUKEE GENOA HEALTHCARE W BLUEMOUND RD STE B MILWAUKEE GENOA HEALTHCARE+ 229 E WISCONSIN AVE STE 601 MILWAUKEE HCHM PHARMACY+ 210 W CAPITOL DR MILWAUKEE LUTHER MANOR PHARMACY N 92ND ST MILWAUKEE OMNICARE OF MILWAUKEE S NINTH ST MILWAUKEE PHARMERICA W HEATHER AVE MILWAUKEE PHOENIX PHARMACY INC N FARWELL AVE STE 200 MILWAUKEE WCS CLINIC PHCY W WISCONSIN AVE MILWAUKEE ASSISTED LIVING PHARMACY SERVICE N MAYFAIR RD WAUWATOSA PRESCRIPTIONS PLUS W GREENFIELD AVE WEST ALLIS TLS COMMUNITY PHARMACY S 70TH ST WEST ALLIS Racine County LAKEVIEW LTC PHARMACY+ 517 WISCONSIN AVE RACINE

5 MAIL-ORDER PHARMACY PHARMACY DIRECTORY NOVIXUS PHARMACY SERVICES W NINE MILE RD NOVI RETAIL PHARMACIES Dane County BELLEVILLE HOMETOWN PHARMACY* RIVER ST BELLEVILLE VILLAGE PHARMACY*+ 109 W MAIN ST #69 CAMBRIDGE COTTAGE GROVE HOMETOWN PHARMACY*+ 429 W COTTAGE GROVE RD COTTAGE GROVE CVS PHARMACY*+ 605 W COTTAGE GROVE RD COTTAGE GROVE CROSS PLAINS PHARMACY* MAIN ST CROSS PLAINS WALGREENS* MAIN ST CROSS PLAINS DEERFIELD HOMETOWN PHARMACY*+ 10 LIBERTY ST STE 106 DEERFIELD DEFOREST HOMETOWN PHARMACY*+ 645 S MAIN ST DEFOREST HOMETOWN LONG TERM CARE PHARMACY+ 643 S MAIN ST DEFOREST WALGREENS*+ 807 S MAIN ST DEFOREST FITCHBURG HOMETOWN PHARMACY* CAHILL MAIN SUITE J114 FITCHBURG HY-VEE PHARMACY* 2920 FITCHRONA ROAD FITCHBURG TARGET PHARMACY* MCKEE RD FITCHBURG WALGREENS* S FISH HATCHERY RD FITCHBURG COMMUNITY PHARMACY INC*+ 341 STATE ST MADISON COPPS FOOD CENTER PHARMACY* SHOPKO DR MADISON CVS PHARMACY*+ 2 SOUTH BEDFORD ST MADISON CVS PHARMACY* MINERAL POINT RD MADISON DEAN CLINIC PHARMACY* FISH HATCHERY RD MADISON DEAN CLINIC PHARMACY* S STOUGHTON RD MADISON DEAN CLINIC PHARMACY*+ 700 S PARK ST MADISON DEAN CLINIC PHARMACY*+ 752 N HIGH POINT RD MADISON GENOA HEALTHCARE+ 625 WEST WASHINGTON AVE MADISON HOEY APOTHECARY*+ 217 COTTAGE GROVE ROAD MADISON HY-VEE PHARMACY* E WASHINGTON AVE MADISON HY-VEE PHARMACY*+ 675 S. WHITNEY WAY MADISON LUMICERA HEALTH SERVICES* 2601 W BELTLINE HWY STE 302 MADISON MALLATT'S HOMECARE PHARMACY* KINGSLEY WAY MADISON MALLATT'S PHARMACY AND COSTUMES* WILLIAMSON ST MADISON MALLATT'S PHARMACY AND COSTUMES* MONROE STREET MADISON METRO MARKET PHARMACY* COTTAGE GROVE RD MADISON NEUHAUSER PHARMACY* MONROE ST MADISON OAKWOOD PHARMACY W MINERAL POINT RD MADISON OMNICARE OF MADISON* PROGRESS RD MADISON RESTORE HEALTH PHARMACY, LLC* DEMING WAY MADISON SAMS PHARMACY * WATTS RD MADISON SHOPKO PHARMACY* ZEIER RD MADISON SHOPKO PHARMACY* MINERAL POINT RD MADISON ST MARYS CARE CENTER PHARMACY* 3401 MAPLE GROVE DR MADISON TARGET PHARMACY*+ 750 HILLDALE WAY MADISON TARGET PHARMACY*+ 201 JUNCTION ROAD MADISON TARGET PHARMACY* LIEN RD MADISON UW HEALTH PHARMACY SERVICES*+ 600 HIGHLAND AVE MADISON

6 UW HEALTH PHARMACY SERVICES*+ 1 S PARK ST MADISON UW HEALTH PHARMACY SERVICES* S PARK ST MADISON UW HEALTH PHARMACY SERVICES* UNIVERSITY AVE MADISON UW HEALTH PHARMACY SERVICES* DRYDEN DR MADISON UW HEALTH PHARMACY SERVICES*+ 333 E CAMPUS MALL MADISON UW HEALTH PHARMACY SERVICES* E WASHINGTON AVE MADISON UW HEALTH PHARMACY SERVICES* E TOWNE BLVD MADISON UW HEALTH PHARMACY SERVICES*+ 451 JUNCTION RD MADISON UW HEALTH PHARMACY SERVICES* E TERRACE DR MADISON UW HEALTH PHARMACY SERVICES*+ 600 HIGHLAND AVE MADISON UW HEALTH PHARMACY SERVICES*+ 600 HIGHLAND AVENUE MADISON UW HEALTH PHARMACY SERVICES* MINERAL POINT RD MADISON UW HEALTH PHARMACY SERVICES* ODANA RD MADISON WALGREENS* RAYMOND RD MADISON WALGREENS*+ 311 E CAMPUS MALL MADISON WALGREENS*+ 606 S WHITNEY WAY MADISON WALGREENS* S PARK ST MADISON WALGREENS* NORTHPORT MADISON WALGREENS* VERONA ROAD MADISON WALGREENS* MINERAL POINT RD MADISON WALGREENS*+ 108 COTTAGE GROVE ROAD MADISON WALGREENS*+ 15 E MAIN ST MADISON WALGREENS* EAST COTTAGE WASHINGTON GROVE RD AV AT MADISON WALGREENS*+ ACEWOOD MADISON WALGREENS* MCKEE RD MADISON WALGREENS* UNIVERSITY AVE MADISON WALGREENS* E WASHINGTON AVE MADISON WALGREENS* OLD SAUK RD MADISON WAL-MART PHARMACY* WATTS ROAD MADISON WAL-MART PHARMACY* NAKOOSA TRAIL MADISON WILLOW PHARMACY* INTERNATIONAL LANE MADISON MCFARLAND HOMETOWN PHARMACY* LARSON BEACH RD MCFARLAND THE MEDICINE SHOPPE* U S HIGHWAY 51 MCFARLAND WALGREENS* LARSON BEACH RD MCFARLAND COSTCO PHARMACY* DEMING WAY MIDDLETON CVS PHARMACY* CENTURY AVE MIDDLETON WALGREENS* BRANCH ST MIDDLETON MEDICINE SHOPPE* MONONA RD MONONA SHOPKO PHARMACY* W BROADWAY MONONA WALGREENS* MONONA DRIVE MONONA WAL-MART PHARMACY* ROYAL AVE MONONA MOUNT HOREB PHARMACY*+ 203 W MAIN ST MOUNT HOREB WALGREENS* HWY MOUNT HOREB DEAN CLINIC PHARMACY*+ 753 N MAIN STREET OREGON OREGON HOMETOWN PHARMACY*+ 815 NORTH MAIN ST OREGON WALGREENS*+ 704 N MAIN ST OREGON MCGLYNN PHARMACY INC*+ 100 E MAIN ST STOUGHTON

7 WALGREENS* US HWY 51 STOUGHTON WAL-MART PHARMACY* US HIGHWAY 51 AND 138 STOUGHTON COPPS FOOD CENTER*+ 640 E MAIN ST SUN PRAIRIE COPPS FOOD CENTER PHARMACY* IRONWOOD DR SUN PRAIRIE COSTCO PHARMACY* HOEPKER RD SUN PRAIRIE DEAN CLINIC PHARMACY*+ 10 TOWER DRIVE SUN PRAIRIE O'CONNELL PHARMACY LONG TERM CARE+ 125 S. THOMPSON RD. SUN PRAIRIE OCONNELL PHARMACY LTD*+ 302 S GRAND AVE SUN PRAIRIE SUN PRAIRIE HOMETOWN PHARMACY*+ 13 N BIRD ST SUN PRAIRIE TARGET PHARMACY*+ 660 S GRAND AVE SUN PRAIRIE WALGREENS*+ 546 N GRAND AVE SUN PRAIRIE WALGREENS*+ 275 DAVISON DRIVE SUN PRAIRIE WAL-MART PHARMACY* MC COY ROAD SUN PRAIRIE VERONA HOMETOWN PHARMACY*+ 202 S MAIN ST VERONA WALGREENS*+ 104 N MAIN ST VERONA MALLATT'S PHARMACY AND COSTUMES*+ 233 S CENTURY AVE WAUNAKEE WALGREENS*+ 401 W MAIN ST WAUNAKEE Kenosha County AURORA PHARMACY* TH ST KENOSHA AURORA PRESCRIPTION DISPENSING CENTER* ND AVENUE KENOSHA CVS PHARMACY* TH STREET KENOSHA CVS PHARMACY* NORTH 22ND KENOSHA CVS PHARMACY* TH AVE KENOSHA GOOD VALUE PHARMACY* TH ST STE 100 KENOSHA GOOD VALUE PHARMACY LARSEN-MAYER* TH AVE KENOSHA GOOD VALUE PHARMACY LTC TH ST KENOSHA GOOD VALUE PHARMACY MEDCARE WEST* TH ST STE 103 KENOSHA KMART PHARMACY* ND ST KENOSHA MEIJER PHARMACY #284* 7701 GREEN BAY RD KENOSHA MODERN APOTHECARY* TH AVE KENOSHA PICK N SAVE PHARMACY* RD STREET KENOSHA PICK N SAVE PHARMACY* TH ST KENOSHA PICK N SAVE PHARMACY* TH STREET KENOSHA SHOPKO PHARMACY* ND ST KENOSHA WALGREENS* SHERIDAN RD KENOSHA WALGREENS* ND STREET KENOSHA WALGREENS* TH STREET KENOSHA WALGREENS* N GREEN BAY RD KENOSHA WALGREENS* 5711 SIXTH KENOSHA WALGREENS* TH AVE KENOSHA WAL-MART PHARMACY* BRUMBACK BLVD KENOSHA COSTCO PHARMACY* TH AVE PLEASANT PRAIRIE TARGET PHARMACY* TH ST PLEASANT PRAIRIE WALGREENS* TH AVE PLEASANT PRAIRIE WALGREENS* TH ST SALEM SAMS PHARMACY * BRUMBACK BLVD SOMERS Milwaukee County

8 PICK N SAVE PHARMACY* N GREENBAY ROAD BROWN DEER WALGREENS* W BROWN DEER RD BROWN DEER WAL-MART PHARMACY* W BROWN DEER RD BROWN DEER WALGREENS* E LAYTON AVE CUDAHAY AURORA ST LUKE'S SOUTH SHORE* S LAKE DR CUDAHY CVS PHARMACY* S PACKARD AVE CUDAHY KMART PHARMACY* S PACKARD AVENUE CUDAHY PICK N SAVE PHARMACY* S PACKARD AV CUDAHY WALGREENS* S PACKARD AVE CUDAHY CVS PHARMACY* N PORT WASHINGTON FOX POINT WALGREENS* N PORT WASHINGTON RD FOX POINT AURORA PHARMACY* W LOOMIS RD FRANKLIN CVS PHARMACY* WEST RAWSON AVE FRANKLIN PICK N SAVE PHARMACY* S 76TH STREET FRANKLIN SAMS PHARMACY * SOUTH 27TH ST FRANKLIN TARGET PHARMACY* S LOVERS LANE RD FRANKLIN WALGREENS* S 76TH STREET FRANKLIN WALGREENS* W LOOMIS RD FRANKLIN WALGREENS* S 27TH ST FRANKLIN WAL-MART PHARMACY* SOUTH 27TH STREET FRANKLIN WHEATON FRANCISCAN PHARMACY* S 27TH ST FRANKLIN MEDPOINT PHARMACY* W. SILVER SPRINGS RD GLENDALE PICK N SAVE* W SILVERSPRINGS DR GLENDALE WALGREENS* N PORT WASHINGTON GLENDALE YE OLDE PHARMACY* N PORT WASHINGTON RD GLENDALE WALGREENS* W LOOMIS GREENDALE WAL-MART PHARMACY* S. 76TH ST GREENDALE HAYAT PHARMACY* S 27TH ST STE 400 GREENFIELD MEDPOINT PHARMACY* S 27TH ST GREENFIELD PICK N SAVE PHARMACY* S 76TH ST GREENFIELD SURETY PRO PHARMACY LLC* W LAYTON AVE GREENFIELD TARGET PHARMACY* SOUTH 27TH STREET GREENFIELD WALGREENS* W LAYTON AVENUE GREENFIELD WALGREENS* S 108TH ST GREENFIELD WALGREENS* S 76TH ST GREENFIELD WAL-MART PHARMACY* W LAYTON AVE GREENFIELD PICK N SAVE* S 108TH ST HALES CORNERS WALGREENS* S 108TH ST HALES CORNERS TH STREET PHARMACY LLC* W BURNHAM ST MILWAUKEE AMC PHARMACY*+ 820 N PLANKINTON AVE MILWAUKEE ASLMC PHARMACY* W KK RIVER PARKWAY MILWAUKEE ASLMC PHARMACY* W OKLAHOMA AVE MILWAUKEE ASMC PHARMACY* N 12TH ST MILWAUKEE ASMC PHARMACY*+ 945 N 12TH ST MILWAUKEE AURORA PHARMACY* W FOREST HOME AVE MILWAUKEE AURORA PHARMACY*+ 950 N 12TH ST STE 125 MILWAUKEE AURORA PHARMACY* W EDGERTON AVE MILWAUKEE

9 AURORA PHARMACY* S 20TH ST MILWAUKEE AURORA PHARMACY* W SILVER SPRINGS DR MILWAUKEE AURORA PHARMACY* S 60TH ST MILWAUKEE AURORA PHARMACY* N RIVERCENTER DR MILWAUKEE AURORA PHARMACY* W GOOD HOPE RD MILWAUKEE AURORA PRESCRIPTION DISPENSING CENTER* N MAYFAIR RD STE 100 MILWAUKEE AURORA PRESCRIPTION DISPENSING CENTER*+ 180 W GRANGE AVE MILWAUKEE BEHAVIORAL HEALTH PHARMACY* W WATERTOWN PLANK RD MILWAUKEE COMMUNITY, A WALGREENS PHARMACY*+ 826 N PLANKINTON AVE MILWAUKEE CVS PHARMACY* S 27TH STREET MILWAUKEE CVS PHARMACY* W FOREST HOME AVE MILWAUKEE CVS PHARMACY* FARWELL MILWAUKEE CVS PHARMACY* N DOWNER AVE MILWAUKEE CVS PHARMACY* W VILLARD AVE MILWAUKEE CVS PHARMACY* WEST LISBON AVE MILWAUKEE CVS PHARMACY* NORTH 76TH ST MILWAUKEE CVS PHARMACY* W PERKINS PLACE MILWAUKEE FAMILY PHARMACY* N OAKLAND AVE MILWAUKEE FROEDTERT EAST PHARMACY* W WISCONSIN AVE MILWAUKEE FROEDTERT EYE INSTITUTE PHARMACY* 925 N 87TH ST MILWAUKEE FROEDTERT HOSPITAL CANCER CENTER PHARMACY* W WISCONSIN AVE MILWAUKEE FROEDTERT WEST PHARMACY* W WISCONSIN AVE MILWAUKEE GENOA HEALTHCARE W BLUEMOUND RD STE B MILWAUKEE GENOA HEALTHCARE+ 229 E WISCONSIN AVE STE 601 MILWAUKEE HAYAT PHARMACY* W WISCONSIN AVE MILWAUKEE HAYAT PHARMACY* W. VLIET ST. MILWAUKEE HAYAT PHARMACY* W NORTH AVE MILWAUKEE HAYAT PHARMACY* W CAPITOL DR MILWAUKEE HAYAT PHARMACY* W CAPITOL DR MILWAUKEE HAYEKS SHOREWOOD PHARMACY* N DOWNER AVE MILWAUKEE HCHM PHARMACY*+ 210 W CAPITOL DR MILWAUKEE ISAAC COGGS HERITAGE HLTH CTR* W SILVER SPRING MILWAUKEE LUTHER MANOR PHARMACY* N 92ND ST MILWAUKEE MEDICATE PHARMACY INC* W LAYTON AVE STE 102 MILWAUKEE METRO MARKET PHARMACY* N VAN BUREN ST MILWAUKEE MLK HERTIAGE CLINIC* N MLK DRIVE MILWAUKEE OMNI PHARMACY* W NORTH AVE MILWAUKEE PHARMERICA* W HEATHER AVE MILWAUKEE PHOENIX PHARMACY INC N FARWELL AVE STE 200 MILWAUKEE PICK N SAVE* N 35TH ST MILWAUKEE PICK N SAVE* E GARFIELD MILWAUKEE PICK N SAVE PHARMACY* W SILVER SPRING DR MILWAUKEE PICK N SAVE PHARMACY* W NATIONAL AVE MILWAUKEE PICK N SAVE PHARMACY*+ 250 W HOLT AVE MILWAUKEE PICK N SAVE PHARMACY* S 27TH STREET MILWAUKEE PICK N SAVE PHARMACY* W GOOD HOPE RD MILWAUKEE SAMS PHARMACY * WEST CALUMET ROAD MILWAUKEE

10 SETON PHARMACY* N LAKE DR MILWAUKEE TARGET PHARMACY* SOUTH CHASE AVE MILWAUKEE TARGET PHARMACY* WEST BROWN DEER RD MILWAUKEE TOSA PHARMACY* W CAPITAL DR MILWAUKEE UNION SERV U PHARMACY*+ 709 W OKLAHOMA AVE MILWAUKEE VISITING NURSE ASSOCIATION OF WISCONSIN* WEST NATIONAL AVE MILWAUKEE WALGREENS* N OAKLAND AVE MILWAUKEE WALGREENS* W BURNHAM ST MILWAUKEE WALGREENS*+ 275 W WISCONSIN AVE MILWAUKEE WALGREENS* N MLKING DR MILWAUKEE WALGREENS* WEST NORTH MILWAUKEE WALGREENS* 1101 W MITCHELL MILWAUKEE WALGREENS* KINNICKINNIC MILWAUKEE WALGREENS* E BRADY MILWAUKEE WALGREENS*+ 370 E CAPITOL DR MILWAUKEE WALGREENS* W NORTH AVENUE MILWAUKEE WALGREENS* SOUTH 27TH ST MILWAUKEE WALGREENS* W CAPITOL DR MILWAUKEE WALGREENS* HOPKINS MILWAUKEE WALGREENS* N TEUTONIA AVE MILWAUKEE WALGREENS* WEST BELOIT MILWAUKEE WALGREENS*+ 620 W OKLAHOMA AVE MILWAUKEE WALGREENS* W BROWN DEER RD MILWAUKEE WALGREENS* WEST WISCONSIN MILWAUKEE WALGREENS* N 91ST ST MILWAUKEE WALGREENS* S 27TH MILWAUKEE WALGREENS* W GOOD HOPE RD MILWAUKEE WALGREENS* W CAPITOL MILWAUKEE WALGREENS* W CAPITOL MILWAUKEE WALGREENS* W HAMPTON AVE MILWAUKEE WALGREENS* S 27TH ST MILWAUKEE WALGREENS* W OKLAHOMA ST MILWAUKEE WALGREENS* S HOWELL AVE MILWAUKEE WALGREENS* W WISCONSIN MILWAUKEE WALGREENS* N 76TH ST MILWAUKEE WALGREENS* W FOREST HOME AVE MILWAUKEE WALGREENS* W NATIONAL AVE MILWAUKEE WAL-MART PHARMACY*+ 401 EAST CAPITAL DRIVE MILWAUKEE WAL-MART PHARMACY* SOUTH 27TH ST MILWAUKEE WAL-MART PHARMACY* W SILVER SPRING DR MILWAUKEE WAL-MART PHARMACY* WEST HOPE AVENUE MILWAUKEE WAL-MART PHARMACY* W MAIN ST MILWAUKEE WCS CLINIC PHCY* W WISCONSIN AVE MILWAUKEE WHEATON FRANCISCAN PHARMACY*+ 201 N MAYFAIR RD MILWAUKEE WHEATON FRANCISCAN PHARMACY* W LAYTON AVE MILWAUKEE WHEATON FRANCISCAN PHARMACY* S 16TH ST MILWAUKEE WHEATON FRANCISCAN PHARMACY* W CHAMBERS ST MILWAUKEE

11 WILKES VILLAGE PHARMACY* W BURLEIGH ST MILWAUKEE WISCONSIN HEALTH FUND PHARMACY* W BLUEMOUND RD MILWAUKEE MEIJER PHARMACY #283* W. TOWN SQUARE WAY OAK CREEK PICK N SAVE PHARMACY* S 27TH ST OAK CREEK PICK N SAVE PHARMACY* S HOWELL AVE OAK CREEK PICK N SAVE PHARMACY* W RYAN ROAD OAK CREEK TARGET PHARMACY* S HOWELL AVE OAK CREEK WALGREENS* S HOWELL AVE OAK CREEK THOMPSONS SERV U PHARMACY* E CAPITOL DR SHOREWOOD WALGREENS* 3970 N OAKLAND AVE SHOREWOOD WALGREENS* N OAKLAND AVE SHOREWOOD SOUTH AURORA PHARMACY* TH AVE MILWAUKEE SOUTH WALGREENS* S CHICAGO AVE MILWAUKEE SOUTH WAL-MART PHARMACY*+ 222 N CHICAGO AVE MILWAUKEE AURORA PHARMACY* E LAYTON AVE ST FRANCIS PICK N SAVE PHARMACY* S WHITNALL AVE ST FRANCIS ASSISTED LIVING PHARMACY SERVICE N MAYFAIR RD WAUWATOSA AURORA PHARMACY* DEWEY AVE WAUWATOSA CVS PHARMACY* W BLUE MOUND RD WAUWATOSA FROEDTERT HEALTH PLANK ROAD PHARMACY* 1155 N MAYFAIR ROAD WAUWATOSA KMART PHARMACY* N MAYFAIR ROAD WAUWATOSA MEIJER PHARMACY #277* W BURLEIGH ST WAUWATOSA PICK N SAVE PHARMACY* N MAYFAIR RD WAUWATOSA PICK N SAVE PHARMACY* W STATE STREET WAUWATOSA SKYWALK PHARMACY* W WISCONSIN AVE WAUWATOSA SWAN SERV U PHARMACY* W NORTH AVE WAUWATOSA TARGET PHARMACY* N 124TH ST WAUWATOSA WALGREENS* W STATE ST WAUWATOSA WALGREENS* N MAYFAIR RD WAUWATOSA WALGREENS* W CAPITOL WAUWATOSA WALGREENS* WAUWATOSA AVENUE WAUWATOSA WALGREENS INFUSION AND RESPIRATORY SERVICES* N 113TH ST WAUWATOSA WAL-MART PHARMACY* N 124TH ST WAUWATOSA AURORA PHARMACY* S 90TH ST WEST ALLIS AURORA PHARMACY* W NATIONAL AVE WEST ALLIS CVS PHARMACY* W OKLAHOMA AVE WEST ALLIS CVS PHARMACY* W GREENFIELD WEST ALLIS KMART PHARMACY* WEST GREENFIELD AVE WEST ALLIS PICK N SAVE PHARMACY* S 108TH ST WEST ALLIS PICK N SAVE PHARMACY* W NATIONAL AVE WEST ALLIS PRESCRIPTIONS PLUS W GREENFIELD AVE WEST ALLIS SAMS PHARMACY * SOUTH 108TH STREET WEST ALLIS TARGET PHARMACY* SOUTH 108TH STREET WEST ALLIS TLS COMMUNITY PHARMACY S 70TH ST WEST ALLIS WALGREENS*+ 60TH AND GREENFIELD WEST ALLIS WALGREENS* S 108TH STREET WEST ALLIS WALGREENS* W GREENFIELD AVE WEST ALLIS

12 WALGREENS* W GREENFIELD AVE WEST ALLIS TARGET PHARMACY* MILLER PARK WAY WEST MILWAUKEE WAL-MART PHARMACY* W GREENFIELD AVE WEST MILWAUKEE CVS PHARMACY*+ 240 E HAMPTON WHITEFISH BAY DAN FITZGERALD PHARMACY INC*+ 424 E SILVER SPRING DR WHITEFISH BAY Racine County AURORA PHARMACY*+ 250 MCHENRY ST BURLINGTON AURORA PHARMACY*+ 210 S PINE ST BURLINGTON PICK N SAVE PHARMACY* MILWAUKEE AVE BURLINGTON THE PHARMACY STATION*+ 300 S PINE STREET BURLINGTON WALGREENS*+ 680 MILWAUKEE AVE BURLINGTON WAL-MART PHARMACY* MILWAUKEE AVENUE BURLINGTON PICK N SAVE PHARMACY* S GREEN BAY RD MOUNT PLEASANT WAL-MART PHARMACY* WASHINGTON AVE MOUNT PLEASANT AURORA PHARMACY* WASHINGTON AVE RACINE AURORA PHARMACY* ERIE ST SUITE RACINE CVS PHARMACY* WEST BLVD RACINE KMART PHARMACY* S GREEN BAY ROAD RACINE KMART PHARMACY* DOUGLAS AVE RACINE LAKEVIEW LTC PHARMACY*+ 517 WISCONSIN AVE RACINE LAKEVIEW PHCY OF RACINE INC*+ 516 MONUMENT SQ RACINE NUTRITIONAL DESIGNS AND PHARMACY LLC* WASHINGTON AVE STE 101 RACINE PICK N SAVE PHARMACY* RAPIDS DR RACINE SHOPKO PHARMACY* WASHINGTON AVE RACINE WALGREENS* WASHINGTON AVE RACINE WALGREENS*+ 819 N MEMORIAL RACINE WALGREENS* DURAND AVE RACINE WALGREENS* DOUGLAS AVE RACINE WALGREENS* DURAND AVE RACINE WALGREENS* DOUGLAS AVE RACINE WALGREENS* SPRING ST RACINE WHEATON FRANCISCAN PHARMACY* WISCONSIN AVE RACINE WHEATON FRANCISCAN PHARMACY* SPRING ST RACINE WHEATON FRANCISCAN PHARMACY* SPRING ST RACINE WAL-MART PHARMACY* SOUTH OAKES ROAD STURTEVANT AURORA PHARMACY* TH DR UNION GROVE AURORA PRESCRIPTION DISPENSING CENTER*+ 818 FORREST LANE WATERFORD LAKEVIEW SPECIALTY HOSPITAL & REHAB* 1701 SHARP RD WATERFORD THE PHARMACY STATION*+ 601 N MILWAUKEE ST WATERFORD WALGREENS*+ 900 E MAIN ST WATERFORD

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